Triple, simultaneous, very late coronary stent thrombosis

Miguel Silva Vieira, André Luz, Diana Anjo, Nuno Antunes, Mário Santos, Henrique Carvalho, Severo Torres
2013 Revista Portuguesa de Cardiologia (English Edition)  
Coronary artery stent thrombosis is an uncommon but potentially catastrophic complication. The risk of very late stent thrombosis (VLST) raises important safety issues regarding the first generation of drug-eluting stents (DES). Although several complex mechanisms for VLST have been suggested and various predictors have been described, its pathophysiology is not completely understood and it is not known whether longer-term dual antiplatelet therapy reduces the risk. We present a rare case of
more » ... ultaneous very late DES thrombosis in the three vascular territories, following discontinuation of antiplatelet therapy seven years after stent placement, presenting as cardiogenic shock. We present the case of a 49-year-old man with a past history of non-Q wave myocardial infarction (MI) seven years
doi:10.1016/j.repce.2013.04.004 fatcat:3xklilwyorb6zbk433gbfu2xiy